Jeffrey, Andrew

Jeffrey, Andrew is an individual health care provider with primary practice located at 416 E Maumee St , Angola IN 46703-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Jeffrey, Andrew can be contacted via phone (260) 665-2141.

Contact Information

Primary practice address
416 E Maumee St Angola IN 46703-2001
Phone: (260) 665-2141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34.008571 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02006808A Indiana

Profile Details

NPI number 1477526382
LBN Legal business name Jeffrey, Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated May 28th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477526382 NPPES
Ohio MEDICAID 2628599

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